Effect of Percutaneous Vertebral Pedicle Internal Fixation on Thoracic and Lumbar Spine Fracture without Nerve Injury and Its Influence on Spinal Stability
Objective:To investigate the effect of percutaneous vertebral pedicle internal fixation on thoracic and lumbar spine fracture without nerve injury and its influence on spinal stability.Method:A total of 82 patients with thoracic and lumbar spine fracture without nerve injury admitted to People's Hospital of Chenghai Shantou from October 2021 to January 2023 were divided into control group(n=41)and observation group(n=41)according to random number table method.The control group was treated with open vertebral pedicle internal fixation and the observation group was treated with percutaneous vertebral pedicle internal fixation.The excellent and good rate,operative time,incision length,intraoperative bleeding volume,hospital stay,complication rate and pain degree[verbal rating scale(VRS)]and spinal stability(anterior and posterior margin height ratio of injured vertebra,sagittal plane index and kyphotic Cobb angle)before and after surgery were compared between the two groups.Result:There was no significant difference in the excellent and good rate between the two groups(P>0.05).The operation time,hospital stay and incision length in the observation group were significantly shorter than those in the control group,the intraoperative bleeding volume was significantly less than that in the control group,and the incidence of complications was significantly lower than that in the control group,the differences were statistically significant(P<0.05).There were no significant differences in VRS scores and spinal stability indexes between the two groups before surgery(P>0.05).At 1 week and 4,12 weeks after surgery,the VRS scores of observation group were significantly lower than those of control group,the differences were statistically significant(P<0.05).There were no significant differences between the two groups in VRS scores at 24 weeks after surgery and spinal stability indexes at 12 and 24 weeks after surgery(P>0.05).Conclusion:Percutaneous vertebral pedicle internal fixation can reduce surgical trauma and effectively promote postoperative recovery of patients with thoracic and lumbar spine fracture without nerve injury.The efficacy is accurate,and the effect on spinal stability is similar to that of open surgery.
Percutaneous vertebral pedicle internal fixationThoracic and lumbar spine fractureSpinal stability
万方数据
维普
